Individual
MR. MARIO CARLOS PONCE ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 752-1500
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
79284
GA
Other
Enumeration date
06/20/2011
Last updated
02/20/2025
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